PHYLLIS GRANT - Registered Nurse License in Illinois | # 043020147

PHYLLIS GRANT

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020147

License Status

INACTIVE

Business

N

First Name

PHYLLIS

Last Name

GRANT

Business Name

PHYLLIS GRANT

Original Issue Date

06/28/1967

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005